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Table of Contents
2

Contact Information
4

Enrolling in the Plans
4

Eligibility
4

Domestic Partner Coverage
6

Frequently Asked Questions
6

Pre-Notification Information
6

United Healthcare Providers
6

Out of Network Providers
6

Base Medical Plan Option
8

High Medical Plan Option
8

Prescription Benefits
10

Preventive Care
10

Women's Preventive Care Coverage
10

Summary of Material Modification
10

Dental
10

Vision
12

Life/AD&D
12

Long Term Disability
14

Worksite Benefits
14

Long Term Care
14

Employee Assistance Program
16

Medicaid CHIP Notice
16

Flexible Spending Accounts
16